Organization
INEZA BEHAVIORAL HOMES LLC
Active
Other names
INEZA BEHAVIORAL HOMES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN P NAHIMANA (ADMINISTRATOR)
(718) 207-8511
Entity
Organization
Contact information
Practice address
11937 W MONTE VISTA RD, AVONDALE, AZ 85392-6453
(718) 207-8511
Mailing address
11937 W MONTE VISTA RD, AVONDALE, AZ 85392-6453
(718) 207-8511
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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